LARRY DOUGLAS ANDERSON

DEADWOOD, SD
NPI1699825190
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: CA  29012)
Enumeration Date2007-01-10
Last Update Date2007-07-08
Business Address
Dr. LARRY DOUGLAS ANDERSON DDS, ABGD
11736 IMPRESSIVE VIEW DRIVE
DEADWOOD, SD 57732-0154
Phone number: 605-578-7519
Mailing Address
Dr. LARRY DOUGLAS ANDERSON DDS, ABGD
PO BOX 154
DEADWOOD, SD 57732-0154
Phone number: 605-578-7519
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